| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99499 |
|
264 |
244 |
$0.35 |
| 81003 |
|
24 |
24 |
$0.00 |
| 80061 |
Lipid panel |
475 |
471 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$0.00 |
| 84439 |
|
256 |
255 |
$0.00 |
| 82274 |
|
85 |
85 |
$0.00 |
| 80074 |
|
14 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
42 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
787 |
698 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
849 |
819 |
$0.00 |
| 82043 |
|
121 |
119 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
670 |
654 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
42 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
380 |
377 |
$0.00 |
| 86592 |
|
57 |
56 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
619 |
605 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
470 |
466 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
400 |
398 |
$0.00 |
| 3008F |
|
46 |
46 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
30 |
30 |
$0.00 |
| 82746 |
|
29 |
29 |
$0.00 |
| 82607 |
|
43 |
43 |
$0.00 |
| 84154 |
|
16 |
16 |
$0.00 |
| 84153 |
|
17 |
17 |
$0.00 |